PDF(Pubmed)
Abstract：
UNASSIGNED: Patients of Memorial Sloan Kettering Cancer Center in New York, New York, are now offered a choice of either in-person or remote telehealth visits for radiation oncology care. However, safety and satisfaction among patients receiving treatment with fully remote physician management is unclear.
UNASSIGNED: To analyze patient safety and satisfaction, financial implications, and environmental consequences associated with fully remote management among a cohort of patients treated with radiotherapy.
UNASSIGNED: This single-institution retrospective cohort study was performed at Memorial Sloan Kettering Cancer Center, with patients treated with radiation who opted for fully remote management between October 1, 2020, and October 31, 2022. Data on patient safety events were prospectively collected with an in-house quality improvement reporting system. Patient satisfaction surveys were distributed electronically before, during, and after treatment. Patient transportation costs and environmental consequences were estimated based on differences in travel distance. Data analysis was performed from March 14 through September 19, 2023.
UNASSIGNED: Radiotherapy with fully remote physician management.
UNASSIGNED: Satisfaction rates among patients opting for fully remote management were analyzed via surveys administered electronically after visits with clinicians. Patient safety events, defined as staff-reported actual events and near misses that had the potential to affect patient care, were reviewed. Rates and types of safety events were analyzed and compared with patients treated by onsite clinicians. Distances between patient home zip codes and treatment site locations were compared with estimated cost savings and decreased emissions.
UNASSIGNED: This study included 2817 patients who received radiation oncology care with fully remote physician management. The median age of patients was 65 (range, 9-99) years, and more than half were men (1467 [52.1%]). Of the 764 safety events reported, 763 (99.9%) did not reach patients or caused no harm to patients. Nearly all survey respondents (451 [97.6%]) rated patient satisfaction as good to very good across all domains. For treatment with fully remote physician management, out-of-pocket cost savings totaled $612 912.71 ($466.45 per patient) and decreased carbon dioxide emissions by 174 metric tons.
UNASSIGNED: In this study, radiation oncology care provided by fully remote clinicians was safe and feasible, with no serious patient events. High patient satisfaction, substantial cost savings, and decreased environmental consequences were observed. These findings support the continuation of a fully remote management option for select patients in the post-COVID-19 era.
UNASSIGNED: To analyze patient safety and satisfaction, financial implications, and environmental consequences associated with fully remote management among a cohort of patients treated with radiotherapy.
UNASSIGNED: This single-institution retrospective cohort study was performed at Memorial Sloan Kettering Cancer Center, with patients treated with radiation who opted for fully remote management between October 1, 2020, and October 31, 2022. Data on patient safety events were prospectively collected with an in-house quality improvement reporting system. Patient satisfaction surveys were distributed electronically before, during, and after treatment. Patient transportation costs and environmental consequences were estimated based on differences in travel distance. Data analysis was performed from March 14 through September 19, 2023.
UNASSIGNED: Radiotherapy with fully remote physician management.
UNASSIGNED: Satisfaction rates among patients opting for fully remote management were analyzed via surveys administered electronically after visits with clinicians. Patient safety events, defined as staff-reported actual events and near misses that had the potential to affect patient care, were reviewed. Rates and types of safety events were analyzed and compared with patients treated by onsite clinicians. Distances between patient home zip codes and treatment site locations were compared with estimated cost savings and decreased emissions.
UNASSIGNED: This study included 2817 patients who received radiation oncology care with fully remote physician management. The median age of patients was 65 (range, 9-99) years, and more than half were men (1467 [52.1%]). Of the 764 safety events reported, 763 (99.9%) did not reach patients or caused no harm to patients. Nearly all survey respondents (451 [97.6%]) rated patient satisfaction as good to very good across all domains. For treatment with fully remote physician management, out-of-pocket cost savings totaled $612 912.71 ($466.45 per patient) and decreased carbon dioxide emissions by 174 metric tons.
UNASSIGNED: In this study, radiation oncology care provided by fully remote clinicians was safe and feasible, with no serious patient events. High patient satisfaction, substantial cost savings, and decreased environmental consequences were observed. These findings support the continuation of a fully remote management option for select patients in the post-COVID-19 era.
摘要：
■纽约纪念斯隆·凯特琳癌症中心的患者，纽约,现在为放射肿瘤学护理提供了面对面或远程远程医疗访问的选择。然而,接受完全远程医师管理的患者的安全性和满意度尚不清楚.
■为了分析患者的安全性和满意度，财务影响，以及在接受放射治疗的患者队列中与完全远程管理相关的环境后果。
■这项单机构回顾性队列研究是在纪念斯隆·凯特琳癌症中心进行的，在2020年10月1日至2022年10月31日期间选择完全远程管理的放射治疗患者。通过内部质量改进报告系统前瞻性收集患者安全事件的数据。患者满意度调查以前是以电子方式分发的，during,和治疗后。根据旅行距离的差异估算患者的运输成本和环境后果。数据分析从2023年3月14日至9月19日进行。
■完全远程医师管理的放射治疗。
■选择完全远程管理的患者的满意度通过对临床医生就诊后进行电子调查进行分析。患者安全事件,定义为工作人员报告的可能影响患者护理的实际事件和未遂事件，被审查了。分析安全事件的发生率和类型，并与现场临床医生治疗的患者进行比较。将患者家庭邮政编码与治疗地点之间的距离与估计的成本节省和减少的排放进行了比较。
■这项研究包括2817名接受完全远程医师管理的放射肿瘤学治疗的患者。患者的中位年龄为65岁（范围，9-99）年，一半以上是男性(1467[52.1%])。报告的764起安全事件中,763（99.9％）未到达患者或未对患者造成伤害。几乎所有的调查受访者（451[97.6％]）在所有领域都将患者满意度评为良好到非常好。对于完全远程医生管理的治疗，自付费用节省总计612912.71美元(每名患者466.45美元)，二氧化碳排放量减少174公吨。
■在这项研究中，完全远程临床医生提供的放射肿瘤学护理是安全可行的，没有严重的患者事件。患者满意度高,大量节约成本,并观察到减少的环境后果。这些发现支持在后COVID-19时代继续为部分患者提供完全远程管理选项。
■为了分析患者的安全性和满意度，财务影响，以及在接受放射治疗的患者队列中与完全远程管理相关的环境后果。
■这项单机构回顾性队列研究是在纪念斯隆·凯特琳癌症中心进行的，在2020年10月1日至2022年10月31日期间选择完全远程管理的放射治疗患者。通过内部质量改进报告系统前瞻性收集患者安全事件的数据。患者满意度调查以前是以电子方式分发的，during,和治疗后。根据旅行距离的差异估算患者的运输成本和环境后果。数据分析从2023年3月14日至9月19日进行。
■完全远程医师管理的放射治疗。
■选择完全远程管理的患者的满意度通过对临床医生就诊后进行电子调查进行分析。患者安全事件,定义为工作人员报告的可能影响患者护理的实际事件和未遂事件，被审查了。分析安全事件的发生率和类型，并与现场临床医生治疗的患者进行比较。将患者家庭邮政编码与治疗地点之间的距离与估计的成本节省和减少的排放进行了比较。
■这项研究包括2817名接受完全远程医师管理的放射肿瘤学治疗的患者。患者的中位年龄为65岁（范围，9-99）年，一半以上是男性(1467[52.1%])。报告的764起安全事件中,763（99.9％）未到达患者或未对患者造成伤害。几乎所有的调查受访者（451[97.6％]）在所有领域都将患者满意度评为良好到非常好。对于完全远程医生管理的治疗，自付费用节省总计612912.71美元(每名患者466.45美元)，二氧化碳排放量减少174公吨。
■在这项研究中，完全远程临床医生提供的放射肿瘤学护理是安全可行的，没有严重的患者事件。患者满意度高,大量节约成本,并观察到减少的环境后果。这些发现支持在后COVID-19时代继续为部分患者提供完全远程管理选项。
